Efficacy of an Epidural Versus a Fascia Iliaca Compartment Catheter After Hip Surgery

A Prospective, Randomized, Double-blind, Placebo-controlled, Crossover Trial of Epidural Analgesia Versus a Surgically-placed Fascia Iliaca Compartment Catheter for Postoperative Pain After Periacetabular Osteotomy

Status

Withdrawn

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01835106

Enrollment

Registered

2013-04-18

Start date

2013-04-30

Completion date

2013-04-30

Last updated

2017-08-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Keywords

Postoperative Care

Brief summary

The investigators are investigating two ways of treating pain after hip surgery. One way is though a thin tube (called a catheter), and it is placed into the back so that pain-numbing drugs can reach the nerves near the backbone. This is called an epidural catheter. Another way is to place the catheter close to the hip, where the surgery is done, so that the pain-numbing drugs can reach some of the nerves more locally. This is called a fascia iliaca compartment catheter. The investigators do not know which way is best to treat pain, or has fewer side effects, or allows a patient to leave hospital faster. Usually, patients would receive only one type of catheter for pain relief. To do this comparison, the investigators would place both catheter types, so that patients help us tell which one works better.

Interventions

PROCEDUREEpidural catheter is used postoperatively

PROCEDUREFascia iliaca compartment catheter is used postoperatively

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Caregiver)

Eligibility

Sex/Gender

ALL

Age

15 Years to 35 Years

Healthy volunteers

Inclusion criteria

* Weight \>40 kg * Radiographic evidence of hip dysplasia amenable to unilateral surgical treatment by periacetabular osteotomy * Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain subscale \>4/20 * Age between 15 and 35 years * Good or excellent preoperative joint congruency

Exclusion criteria

* Hematologic or neurologic contraindications to epidural catheter placement * Significant renal, hepatic, or cardiac disease * Peptic ulcer disease * Bleeding disorders * Severe asthma * Hypersensitivity to non-steroidal antiinflammatory drugs * Developmental delay * History of substance abuse * Chronic opioid use * Chronic pain in non-hip locations

Design outcomes

Primary

Measure	Time frame	Description
Number of days until all pre-defined readiness-to-discharge criteria for hip surgery are met	1-5 days	1. Numerical pain rating score \<4 at rest, and \<6 with movement, 2. Independence from intravenous opioids for 12 hours, and 3. Ambulation at least 30 m, without a time limit

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026